Bynum Licensed Clinical Social Work Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BYNUM LICENSED CLINICAL SOCIAL WORK INC.

Practice address

110 S Montclair St Ste 106
Bakersfield, CA 93309-3118

Phone

(661) 473-0090

Fax

(661) 735-0109

NPI assigned

Aug 19, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Krissy Bynum, LCSWNPI 1376839175

Title

Owener/Therapist

Phone

(661) 473-0090

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krissy Bynum, LCSW

  • Clinical Social Worker
  • Bakersfield, CA
  • NPI 1376839175
  NPD Authorized official
• Gianna Flores Heatherly

  • Marriage & Family Therapist
  • Bakersfield, CA
  • NPI 1770926016
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725753600000",
    "number": "1124850987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S MONTCLAIR ST STE 106",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933093118",
            "telephone_number": "661-473-0090",
            "fax_number": "661-735-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MONTCLAIR ST STE 106",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933093118",
            "telephone_number": "661-473-0090",
            "fax_number": "661-735-0109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S Montclair St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933093111",
            "country_code": "US",
            "telephone_number": "661-473-0090",
            "fax_number": "661-735-0109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BYNUM LICENSED CLINICAL SOCIAL WORK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "KRISSY",
        "authorized_official_title_or_position": "OWENER/THERAPIST",
        "authorized_official_telephone_number": "661-473-0090",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Arthur Buxton, M.D.
• Caitlin Buys
• Brenda Joyce Buzby, DDS
• Frank Buzugbe, DNAP
• Steven Lee Bylund, PH.D.
• Krissy Bynum, LCSW
• Tracy Diane Byrd, RN
• Shaina Christine Byrnes
• Byron S K Mui M D F a C P a Medical Corporation
• C, Rose Rabinov, M.D., Inc

• Clinical Social Worker in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.